| 张亚楠,许毅克,徐征华.自拟中药汤剂熏洗联合毫火针治疗湿热内蕴型掌跖脓疱病疗效观察[J].中国烧伤创疡杂志,2021,(4):283~286. |
| DOI： |
| 中文关键词: 中药汤剂 熏洗 毫火针 掌跖脓疱病 银屑病皮损面积和严重程度指数 |
| 英文关键词:Traditional Chinese medicine decoction Fumigation and washing Filiform⁃fire needle Palmoplantar pustulosis Psoriasis area and severity index (PASI) |
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| 中文摘要: |
| 【摘要】 目的 对比分析自拟中药汤剂熏洗联合毫火针与单纯自拟中药汤剂熏洗治疗湿热内蕴型掌跖脓疱病的临床疗效。方法 选取 2018年1月至2019 年11月许昌中医院收治的 75 例湿热内蕴型掌跖脓疱病患者作为研究对象，并按照随机数表法将其随机分为观察组 (38 例) 与对照组 (37 例)，观察组患者行自拟中药汤剂熏洗联合毫火针治疗，对照组患者单纯行自拟中药汤剂熏洗治疗, 对比观察两组患者治疗 8 周后的改良银屑病皮损面积和严重程度指数 (PASI) 评分及临床疗效。结果 治疗 8 周后, 两组患者改良 PASI 评分均明显降低，且观察组患者的改良 PASI 评分 [ (1. 54 ± 0. 98) 分] 明显低于对照组 [ (2. 17 ± 1. 19) 分] (t = 2. 506, P = 0. 015)；治疗 8 周后, 观察组患者中痊愈 21 例、显效 10 例、有效 5 例、无效 2 例，总有效率为 94. 74%，明显优于对照组患者的痊愈 12 例、显效 10 例、有效 9 例、无效 6 例，总有效率 83. 78% (Z = - 2. 322，P = 0. 020)。结论 自拟中药汤剂联合毫火针可有效促进湿热内蕴型掌跖脓疱病患者的皮损消退，疗效明显优于单纯应用自拟中药汤剂治疗，具有较高的临床应用价值。 |
| 英文摘要: |
| 【Abstract】 Objective To compare and analyze the clinical efficacy of fumigation and washing with a hospital?made Chinese medicine decoction combined with filiform?fire needle acupuncture in treating damp?heat palmoplantar pustulosis. Methods Seventy?five patients with palmoplantar pustulosis, admitted to Xuchang Hospital of Traditional Chinese Medicine from January 2018 to November 2019, were selected as research subjects and divided, according to the random number table, into an observation group (38 cases) and a control group (37 cases). Patients in the observation group received the fumigation and washing with the hospital?made Chinese medicine decoction combined with filiform?fire needle acupuncture, while patients in the control group were treated with the Chinese medicine fumigation and washing only. The modified psoriasis area and severity index (PASI) scores and clinical efficacy in the two groups were compared and observed after 8 weeks of treatment. ResultsAfter 8 weeks of treatment, the modified PASI scores in the two groups were both reducedsignificantly, and the score of (1. 54 ± 0. 98) points in the observation group was significantly lower than (2. 17 ± 1. 19) points in the control group (t = 2. 506, P = 0. 015). After 8 weeks of treatment, the total effective rate in the observation group was 94. 74% with 21 cases cured, 10 cases markedly effective, 5 cases effective and 2 cases ineffective, which was significantly better than 83. 78% in the control group with 12 cases cured, 10 cases markedly effective, 9 cases effective and 6 cases ineffective (Z = - 2. 322, P = 0. 020). Conclusion The combined therapy of the hospital?made Chinese medicine decoction and filiform?fire needle can promote the regression of skin lesions in patients with palmoplantar pustulosis, with a much better curative effect than the simple application of the hospital?made Chinese medicine decoction, presenting a much high value of clinical application. |
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